Regulation .02 Definitions.

In this chapter, the following terms have the meanings indicated.

Terms Defined.

(1)

“Claimant” means an insured individual resident in Maryland making a claim against the insurer for benefits, who is a:

(a)

Policyholder covered by an individual policy; or

(b)

Certificate holder covered under a group policy or under an administration contract.

(2)

“Service” means any service for which a charge is made which is covered under the policy or contract, including charges for, but not limited to:

(a)

Fees of surgeons, anesthetists, and other physicians;

(b)

Room and board charges;

(c)

Operating room charges;

(d)

Recovery room charges; and

(e)

Nursing care charges.